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NBCOT Domain Two Prep > Chunk One > Flashcards

Chunk One Flashcards

1
Q

goniometer:

A

measurement instrument for evaluating joint range of motion: accuracy is ensured through following standardized procedures including

client position
positioning of the instrument

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2
Q

normal range of motion for the cervical spine

A

degrees of measurement include:

flexion 0-45
extension: 0-45
lateral flexion: 0-45
rotation: 0-60

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3
Q

ROM thoracic and lumbar

A

flexion: 0-80
extension: 0-30
lateral flexion: 0-40
rotation: 0-45

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4
Q

ROM shoulder:

A

flexion: 0-170
extension: 0-60
horizonational ABduction: 0-40
horizontal adduction: 0-130
internal rotation:0-70
external rotation: 0-90

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5
Q

ROM elbow and forearm

A

flexion: 0-135/150
supination: 0-80/90
pronation: 0 -80/90

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6
Q

ROM wrist:

A

flexion: 0-80
extension: 0-70
ulnar deviation: 0-30
radial deviation: 0-20

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7
Q

ROM thumb:

A

MP flexion: 0-90
IP Flexion: 0-80/90
ABduction: 0-50

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8
Q

ROM fingers:

A 
MP flex: 0-90
MP hyperextension: 0-15/45
PIP flex: 0-110
DIP flex: 0-80
ABduction: 0-25
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9
Q

ROM hip:

A

flex: 0-120
ext: 0-30
AB: 0-40
add: 0-35
IR: 0-45
ER: 0-45

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10
Q

ROM knee:

A

flexion: 0-135

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11
Q

ROM: ankle and foot

A

plantar flex: 0-50

dorsiflexion: 0-15
inversion: 0-35
eversion: 0-20

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12
Q

manual muscle testing:

A

structured approach to measure muscle strength adn apply a muscle grade to the maximal effort put forth :

grading scale range: 0-5 to normal 5/5

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13
Q

muscle grade 0/5

A

no active movement noted

no muscle contraction observed or palpated

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14
Q

muscle grade 1/5

A

trace movement observed and palpated

no active movement noted, but muscle contraction is observed or palpated

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15
Q

muscle grade 2/5

A

poor strength observed where movement is noted only in a gravity minimized plane

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16
Q

2- / 5 MMT

A

able to initiate movement in gravity-minimized plane

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17
Q

2 / 5

A

poor: incomplete ROM in gravity minimized plane

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18
Q

2 + / 5

A

complete ROM in gravity minimized plane

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19
Q

muscle grade 3 /5

A

assigned for: fair strength observed where movement isn noted against graviety

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20
Q

3 - / 5

A

incomplete ROM against gravity

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21
Q

3 / 5

A

full ROM against gravity with no resistance applied

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22
Q

3 + / 5

A

full ROM against gravity and slight resistnace

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23
Q

muscle grade 4 / 5

A

muscle grade assigned for:

- good strength observed with full ROM against gravity and moderate resistance

24
Q

5/5

A

normal strength observed with full ROM against gravity and maximal resistance

25
dependent
level of assistance where a client needs >75% verbal or physical assistance to complete a task or is unable to perform any component of the task
26
maximal assistance
level of assistance where a client needs 50-70% verbal or physical assistance to complete a task
27
moderate assistance
level of assistance where a client needs 25-50% verbal or physical assistance to complete a task
28
minimal assistance
level of assistance where a client needs <25% verbal or physical assistance to complete a task
29
stand by assistance
level of assistance where a client requires caregiver or practitioner assistance to be within arms reach to safely complete a task
30
independent
level of assistance where a client requires zero physical or verbal assistance to safely complete a task
31
supervised
level of assistance where a client requires occasional verbal assistance to safely complete a task
32
modified independence
level of assistance where a client requires use of adaptive equipment or increased time to complete a task
33
ASIA impairment scale: AIS
classificaiton system used to determine level of impairment to the spinal cord after an injury
34
results of ASIA are based on:
sensory testing of each dermatome for right and left sides MMT for right and left sides
35
ASIA A
complete lesion with no motor or sensory function preserved in the sacral segments S4 - S5
36
ASIA B
incomple lesion with sensory but no motor function preserved below with neurological level; includes the sacral segments S4 - S5
37
ASIA C
incomplete lesion with motor function preserved below the neurological level more than half of key muscles below the neurological level have
38
ASIA D
incomplete lesion with motor function preserved below the neurological level at least half of key muscles below the neurological level have a muscle grade of 3 fair or more strength
39
ASIA E
normal motor and sensory function
40
Rancho Los Amigos: Level 1
no response: total assistance no change in behavior when presented with any form of stimuli
41
Rancho Los Amigos: Level 2
generalized response: total assitance generalized reflex response to painful stimuli responses may be delayed responds to repeated auditory stimuli with increased or decreased activity
42
Rancho Los Amigos: Level 3
localized response: total assistance response to discomfort by pulling tubes or drains blinks when bright light crosses visual field inconsistent response to simple commands
43
Rancho Los Amigos : Level 4
confused/agitated: maximal assistance alert and in a heightened state of activity absent short term meory purposeful attempt to remove restraints or tubes may exhibit aggressive behavior
44
Rancho Los Amigos: Level 5
confused, inappropriate nonagited: Maximal Assistance not oriented to person, place, or time may wander unable to learn new information inappropriate use of objects without redirection
45
Rancho Los Amigos: Level 6
confused, appropriate: moderate assistance inconsistent orientation to person place and time supervision needed for old learning may attend to a familiar task in a distraction -free environment fr up to 30 minutes with moderate redirection
46
Rancho Los Amigos: Level 7
automatic, appropriate: minimal assistance for daily livign skills minimal supervision for new learnign may attend to a familiar task in a distraction -free environment for up to 30 minutes with minimal redirection overestimates abilities minimal supervision for safety in home and community routines
47
Rancho Los Amigos: Level 8
puposeful, appropriate: stand-by assistance stand-by assistance for daily livign skills to take corrective action when impairments interfere with task completion independently attends to and completes familiar tasks for one hour independent once a new activity is learned
48
Ranchos Los Amigos: Level 9
purposeful appropriate stand by assistance on request stand-by assistance on request when impairments interfere with task completion can shift between tasks and can attend for minimum of 2 hours uses assistive memory devices able to monitor appropriateness of social interaction with stand-by assistance
49
Rancho Los Amigos: Level 10
purposeful appropriate: modified independent can independently handle multiple tasks simultaneously, but may requires occasional breaks accurately estimates skills and abilities and independently adjusts task demands social behaviors are consistently appropriate
50
Allen Cognitive Level 1: automatic actions
``` reflexive responses responsive to internal stimuli impaired awareness of time and place global cognition impaired maximum assistance for ADL ```
51
ACL 2: postural actions:
awareness of gross motor movement s global cognition impaired may benefit from 1 step verbal instructions requires 24-hour nursing care
52
ACL: 3 manual actions
ability to manipulate objects with hands responsive to tactile cues repetitive actions that are not goal directed short attention span and unpredictable behaviors
53
ACL: 4 goal directed actions
global cognition moderately impaired responds to tangible visual motor cues some goal directed behaviors can pay attention for up to 1 hour
54
ACL: 5 exploratory actions
global cognition mild impaired trail-and-error method used during activity decreased ability to plan ahead and anticipate errors poor judgement and occasionally impulsive
55
ACL: 6 planned actions
abstract thinking is intact carry-over of learning from one session to another anticipates errors and demonstrates ability to plan ahead judgement and problem -solving is intact

NBCOT Domain Two Prep (3 decks)

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